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Provider Manual
Table of Contents
Quick Reference
Introduction
Member
Coverage Arrangements
Laboratory Services
Primary Care Practitioner
Growing Up With Gateway
SM
Specialty Care Practitioner
OB/GYN Services
Policies and Procedures
Hospital Services
Referrals and Authorizations
Claims and Billing
Appeals, Complaints and Grievances
Care Management
Credentialing
Drug List and Information
Drug List
Drug Recall
Drug Safety Information
Medication Coverage
Pharmacy and Therapeutics Committee
Forms & Reference Materials
Forms
Physician In-service Materials
HIPAA
EPSDT Periodicity Schedule
Fraud and Abuse Policy
Gateway at a Glance
Helpful Links
Provider News & Updates
Provider News
Newsletters & Newsflashes
Provider Satisfaction
Medicaid Quality Improvement
Patient Safety & Wellness
Immunization Info
Patient Safety
Provider Update Article Search
June 2010
Issues
June 2010
Articles
June 2010
Important Announcement Regarding New Claims Mailing Addresses
Affirmative Statement About Incentives
Welcome to the New Provider Update
Complete Diagnosis Submission Improves Quality & Care
Utilization Management Tips for Precertification
What is a Corrected Claim?
Quality Improvement/Utilization Management (QI/UM) Program and Work Plan
DIVA Faxes
UM Criteria
Help Prevent Tooth Decay in Children
Timeliness
Office Manager Incentive Program Winners
Pharmacy Toolkit for Providers
Suboxone Counseling
How to Request a Drug Addition to the Formulary
Fax Notification
Chlamydia
Peer Review Information
FDA Issues New Safety Requirements for how LABAs are Used
Pharmacy Formulary Updates
Guidelines and Review Standards on Gateway's Website
The Spectrum of Postpartum Depression
2010 Practitioner and Provider Satisfaction Surveys
MedicaidQuick Links
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Last Updated:
7/2/2010